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NPI Code Detail

MEDICARE: MR. RYAN R SHERMAN OTR/L

MEDICARE:  MR. RYAN R SHERMAN  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5235AZ

General Provider Information

NPI Number : 1215287198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN R SHERMAN OTR/L
Provider Business Mailing Address
First Line : 3442 W LOS GATOS DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-1652
Country : US
Telephone Number : 309-536-2100
Fax Number :
Provider Business Practice Location Address
First Line : 3442 W LOS GATOS DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-1652
Country : US
Telephone Number : 309-536-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2012
Last Update Date : 09/18/2012

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Directions to “ MR. RYAN R SHERMAN OTR/L” Practice Location

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